Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Safety bulletin board established and current.
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Is the OSHA job safety and health poster posted? 0.5
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Are emergency phone numbers posted? 0.5
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Is the safety policy statement posted? 0.5
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Is the fire evacuation diagram posted? 0.5
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Does the unit have a poster located prominently on an employee bulletin board listing medical providers for utilization? 0.0
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Identify and post the tornado shelter locations. 0
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Do random employees know that the safety goal going forward is zero injuries? 0
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Can random employee show who to contact for reporting a serious, immediate hazard? 0
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Does District have current district safety coordinator that can be named and contacted by unit? 0
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Is the Sodexo group health and safety policy signed, dated and displayed? 0.5
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Can a random employee point out the global safety policy? 0
Current safety policy manual
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Does management have a safety policy manual or can they display the electronic version within a reasonable amount of time? 1.0
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Is management aware of their safety responsibilities per OSHA? 1.0
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Does the unit management team demonstrate active site safety leadership? 0.5
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At least one manager or supervisor must be certified as successfully completed the 10 hour OSHA general industry training course. 1.0
Current OSHA recordkeeping log
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Each injury or illness must be recorded within seven calendar days of receiving information that a recordable injury or illness has occurred. 0.5
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On-site management must retain the OSHA 300 log, OSHA 300A, and first report of injury for five years following the end of the calendar year. 0.5
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Is the OSHA 300 a summary posted from February 1 to April 30? 0.5
Chemical safety in the workplace
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Does management maintain an inventory list of hazardous chemicals that is dated within last 12 months? 1.0
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Are material safety data sheets (or SDS) readily available for each hazardous material in the workplace? 2.0
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Are chemical containers appropriately labeled? 2.0
Established safety committee complete with documented meeting minutes for last six months
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Does a safety committee exist? 1.0
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Are safety committee meetings held monthly? 0.5
An occupational safety topic is reviewed each month with all employees and documented
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Is a weekly safety message communicated to employees? 1.0
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For the past 12 months has the management team reviewed it workplace safety topic each month with at least 90% of its employees? 2.5
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For the past 12 months has the management team reviewed a workplace safety topic each month with 100% of its employees? 2.0
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Are employees engaged and understand safety training topics? 1.0
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Conduct behavior based safety check safe score of 100% awards the audit point. 1.0
Unit conducts monthly safety inspection with corrective action plan implemented to correct unsafe conditions or unsafe acts
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Has unit performed monthly safety inspection to identify possible hazards? 2.0
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Does unit management take corrective action to address possible hazards? 1.0
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A permit to work form is used and issued to the general manager before work can proceed on any of the situations set below (i.e. Live electrical or working from heights). 2.0
Electrical Safety
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Do extension cords being used heavily grounding conductor and are they free of splices or damage to the insulation? 0.5
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In wet or damp locations, are portable electrical tools and equipment appropriate for the use or location or otherwise protected by GFCI? 0.5
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Are all energize parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or closures? 0.5
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Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served? 0.5
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Is there a clear area 30 inches wide by 30 inches deep in front of all electrical panels and circuit breaker boxes? 0.5
Lock out tag out
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Are energy control procedures developed for equipment that contains stored hazardous energy? 1
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Authorized employees are provided with their own, personalized lock & tag? 1
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At time of audit, is unit management supporting company lock out tag out procedures? 0.5
Slip and fall prevention
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Are walkways, means of egress, and stairways clean, clear of obstructions, and free of tripping and/or slipping hazards? 2.0
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Are stepladders or straight letters inspected, in good condition, safely used, and of sufficient height to prevent overreaching? 1.0
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Are fall protection requirements implemented when working at heights of 4 feet or higher above a lower level? 1.0
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Does unit management actively use approved floor hazard warning signs to prevent access to areas that expose potential dangers? 0.5
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Employees not observed carrying large materials that obstruct their vision while traveling up or downstairs? 1.0
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No employees are observed running? 0.5
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Are the workshop areas clean, orderly, and adequately illuminated? 1.0
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Do Sodexo employees wear closed top, closed heel, and rubber soul, slip resistant footwear? 0.5
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Employee parking lot and walkway leading into the workplace have adequate lighting and is free from slipping or fall hazards including snow and ice. 0.5
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Are inspections for aerial lifts or cranes documented and is there evidence that operators are trained? 1.0
Prevention of back injuries and strains
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Are carts, team lifts, or other mechanical devices used to handle materials in excess of 40 pounds? 1.0
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Are carts pushed, not pulled, and maintained in good condition? 0.5
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Are safe work practices used to minimize overreaching and heavy or awkward lifts? 1.0
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Observe dumping trash? Are safe lifting procedures followed? 0.5
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Signs present to remind employees how to lift safely. 0.0
Personal protective equipment
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Completed task specific personal protective equipment hazard assessment on file and signed by on-site management? 1.0
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Is properly fitted and maintained personal protective equipment provided and actively worn? 2.0
Machine guarding and hand tools
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Are safety guards in place for equipment with moving parts? 1.0
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Are emergency stop controls provided, or are circuit breakers controlling machines clearly marked and accessible? 0.5
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Trash compactors, balers, or similar mechanical machines are equipped with adequate guards and safety switches-signage on machine states-"only authorized personnel should be allowed to operate or service this compactor" verify that the key to the machine is removed between use to prevent unauthorized operation. 0.5
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Tools and equipment used by employees are in good condition and used for their intended use? 0.5
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Abrasive wheel equipment-grinders: is a work rest used and Adjusted within 1/8 inch of the grinding wheel? 0.5
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Abrasive wheel equipment-grinders: do side guards cover the spindle, nut, and flange and 75% of the wheel diameter? 0.5
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Employees do not wear loose fitting clothing and jewelry and tieback longhair while operating equipment or when near moving equipment? 0.5
Asbestos
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If asbestos or presumed asbestos containing materials are present does Sodexo management maintain a copy of client asbestos management plan, are the locations adequately labeled? 0.5
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Are all personnel that are likely to disturb asbestos containing materials trained and certified in an EPA approved 16 hour asbestos operations and maintenance course? For performing only class IV asbestos work is there a designated competent person certified and EPA approved 16 hour approved asbestos course? 0.5
Confined space
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Are permit required and non-permit required confined spaces identified properly classified? 2.0
Hazard Environment
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Is there evidence of work being conducted resulting in a hazardous environment? If so, is a respiratory protection program established and fit testing conducted where employees are exposed to air contaminants? 0.5
Noise
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Are high noise work areas identified and controls taken? There must be a hearing conservation program for areas where noise exposures exceed the action level. 1.0
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Are employees in high noise areas involved in hearing conservation program, including annual audiometric testing? 0.5
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Is approved hearing protective equipment available to every employee working in noisy areas. 0.5
Protecting Property & People
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There is evidence that all temporary operations involving open flames or producing heat or sparks require a hot work permit. Are precautions checked on the hot work checklist to prevent fire? 1.0
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Are oily rags and combustible wastes kept the metal containers with lids? 0.5
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Are flammable liquids stored in safety cans or flammable cabinets? 0.5
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Is a fire extinguisher readily accessible with a current service tag? 0.5
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Are "no smoking" signs posted where appropriate in areas where flammable or combustible materials are used or stored? 0.5
Hygiene
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Are all toilets and washing facilities that Sodexo maintains and uses clean and sanitary? 0.5
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Employees wash hands before eating, drinking, or smoking. 0.5
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Are employees with occupational exposures the blood-borne pathogens or bodily fluids offered hepatitis B vaccinations? 0.5
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Are employees working with potential close contact with infectious TB offered the purified protein derivative mantoux skin test? 0.5
Compressed gas cylinders
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Are gas cylinders secured in an upright position by steel chains or cables? 1.0
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Are gas cylinders clearly labeled? 0.5
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Are protective caps in place over the valves of all gas cylinders which are not in use? 0.5
Industrial trucks- forklifts
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Does each industrial truck have a warning horn, whistle, gong, or other device which can be clearly heard above the normal noise in the areas where operated? 0.5
Annual safety education
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The following safety education topics should be trained within a 12 month timeframe and substantiate training with 90% of employees through documentation
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Is an accident prevention review conducted for new employees and annually for all employees? 2.0
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Is slip, fall, and trip prevention training provided? 2.0
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Is back injury prevention training provided? 2.0
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Is fire safety and emergency evacuation training provided? 1.0
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Is personal protective equipment training provided? 2.0
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Is chemical hazard communication training provided, GHS is required after 12/1/13? 1.0
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Is blood-borne pathogen precautions training provided? 1.0
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Is tuberculosis precaution training provided? 2.0
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Is asbestos training provided? 2.0
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Is lockout/tagout training provided for all authorized and affected employees? 2.0
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Are employees trained on safe operation of equipment and machinery? 2.0
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Is electrical safety training provided? 2.0
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Are affected confined space entrance and attendants trained upon initial job assignment and prior to entry? 2.0
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Power industrial truck training is provided for authorized operators? 2.0
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Safe golf cart operation training provided, if applicable? 0.0
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Workplace violence training? 0.0
Vehicle safety
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Is the driver responsibility form reviewed and signed by the Sodexo driver within the last 12 months? 1.5
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Does the unit manager retain a copy of the current motor vehicle record check for the Sodexo driver within the last 12 months? 1.5
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Unit completes monthly vehicle inspections for those client or Sodexo owned or leased vehicles used in daily operations? 1.0
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All drivers have completed distracted driving safety training? 0.5
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All drivers have completed backing accidents safety training? 0.5
Claim investigation and reporting
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Does unit management complete the first report of injury on all incidents and accidents and notifies the Sodexo reporting hotline within 24 hours of occurrence? 1.5
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Does unit management complete root cause analysis on all incidents and accidents? 2.0
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Is a first aid kit easily accessible to the work area? 1.0
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Is a first aid and CPR trained and certified employee available? 1.0
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Is an emergency eyewash available and does it operate properly within the immediate work area where employees are exposed to corrosive materials? 1.0
Bonus for OSHA 10 hour training course certification
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General manager or other unit manager successfully completed 10 hour or 30 hour OSHA general industry training course? Maximum 3 Points
